Clinical Congress News; October 3, 1972

58TH ANNUAL CLINICAL CONGRESS OF
THE AMERICAN COLLEGE OF SURGEONS

SAN FRANCISCO, CALIFORNIA TUESDAY, OCTOBER 3, 1972

Scudder orator:

Shires to discuss
care of the injured

Responsibility of the surgeon to the injured
will be the topic of the Scudder Oration on
Hiho® Trauma to be de-
Ss livered this after-
; noon by G. Thomas
Shires, MD, FACS.
Dr. Shires is profes-
sor of surgery and
chairman of the
department at the
University of Texas
Southwestern Medi-
cal School at Dallas,
and a Regent of the
American College
of Surgeons. He will deliver his presentation,
“Care of the injured — the surgeon’s respon-
sibility”, at 1:30 p.m. in War Memorial Audi-
torium I.

Dr. Shires will detail the challenge pre-
sented by the injured patient, the surgeon’s
response and responsibility as well as the
needs and opportunities emerging as the re-
sponse to injury.

é
Ai

DR. SHIRES

continued on page 2

Hall to register Sunday afternoon. This is a special Congress for Dr. Abbott, as his son, Charles P.
Abbott, will be among the 1527 initiates taken into Fellowship Thursday evening.

Zollinger: make surgical field
more attractive to students

Surgery tends to be a loser today, a prominent
surgical educator reported Monday afternoon,
because too many curriculum planners, many
of whom never practiced clinical medicine,
emphasize the technical aspects of surgical
specialties. But the present generation of sur-
geons can be winners tomorrow if the reins
are sufficiently loosened, and surgeons cease
isolating themselves into surgical islands of
increasing competence for the few, to the po-
tential detriment of the public, particularly
in the smaller communities.

Robert M. Zollinger, MD, FACS, Regents’
professor of surgery and chairman of the De-
partment of Surgery, Ohio State University
College of Medicine, in delivering the sixth
annual American Urological Association Lec-
ture, told his audience:

“I hope we can once again make available
a productive basic surgical program to those
who desire it. I wouldn’t trade the experience
provided me in my basic surgical adolescence
for anything. At least let’s be tolerant enough
to meet the public needs without iron-clad
barriers which limit the capabilities our new
surgical offspring have to offer.”

Dr. Zollinger also pointed out the contrasts
between clinical experience on medicine and
on surgical service.

“Based on conversations I’ve had recently
with medical students, the current student is
indoctrinated with the concept that physical
diagnosis and treatment must be learned in
medicine, and surgeons are mere technicians
to be directed by the medical scholars who
first made the diagnosis.”

He then went on to suggest changes in the
daily behavior patterns of surgeons to make
the field more attractive to students.

Two papers sessions
presented this year

A new feature in this year’s Clinical Congress
is the addition of a second Papers Session.
Because of the frequent requests of Fellows to
be able to present papers at the Congress, the
College Program Committee added the sec-
ond session for this meeting,

Papers Sessions are concerned only with
clinical and laboratory work not previously
presented or published. Basic research find-
ings are being delivered in the Forum on
Fundamental Surgical Problems.

Today at 10 am in War Memorial Auditor-
ium, Papers Session II will be presented.
James V. Maloney, Jr., MD, FACS, from Los
Angeles, presides over the delivery of the
eight papers. Another eight will be given in
Papers Session I scheduled for Thursday at
1 pm in the Civic Auditorium, Main Arena.
Claude E. Welch, MD, FACS, Boston, will
preside.

The Subcommittee on Operating Room
Illumination will hold a meeting this
afternoon from 4:30 to 6:00 in the

Tamalpais Room of the San Francisco
Hilton Hotel. William C. Beck, MD,
FACS, chairman, will preside.

PAGE 2

ACS CLINICAL CONGRESS NEWS

. / lj .
Cine Clinics
begin today
The Ciné Clinics film presentations will begin
this morning and continue Wednesday and
again Thursday morning. All sessions will be-
gin at 8:30 a.m. in the Main Arena of the
Civic Auditorium.

The nineteen teaching films portray out-
standing surgical advances and were pro-
duced through the cooperation of the surgical
suture firm of Davis & Geck, Authors of the
motion pictures were selected in their areas
of expertise by the ACS Committee on Medi-
cal Motion Pictures, and will be present to
discuss their films.

Today’s session will be presided over by
Lawrence G. Hampson, MD, FACS, Mon-
treal, and will include six films. The seven
films featured in the session tomorrow morn-
ing will be moderated by Walter F, Ballinger,
MD, FACS, St. Louis. The final showing on
Thursday, with J. Alex Haller, Jr., MD,
FACS, Baltimore, presiding, will include six
motion pictures and conclude the Ciné Clinics
presentation for 1972. Refer to the official
Congress program for titles of films being
shown as well as the names of the surgeons
and discussers.

AUTHORS OF FORUM PAPER .. . Annette Marie
Lotter, MD, and George W. Allen, MD, FACS, are
among the first to buy a copy of the Surgical
Forum Sunday afternoon at Brooks Hall. They
are authors of a paper dealing with ‘‘A Bacterial
Study of Excised Tonsils’’ which will be presented
this afternoon.

CLINICAL CONGRESS NEWS

Vol. 23, No.2, Published daily
October 2-October 6, 1972
by the American College of Surgeons

OFFICE:

Dolores Room, San Francisco Hilton
Phone: 441-2011

Gordon L. Briggs, editor

Mary Mahaney, asst. editor

Dorie Hanson, reporter

Marsha Dale

Bus shuttle service
to run rest of week

+ tage

FRANCI

The private cable car bus shuttle service spon-
sored by Flint Labs for registrants at the Clin-
ical Congress will make free round trips at 15
minute intervals today thru Friday between
the following hotels and the Civic Auditor-
ium: Sheraton-Palace, Mark Hopkins, San
Francisco Hilton, Fairmont, Jack Tar, St.
Francis, and the Sir Francis Drake.

The bus service will begin at 7:30 am and
run until 5:45 in the afternoons. The service
is free to all wearing the official Congress
registration badge.

The College will provide free bus service
from the above hotels to the Civic Auditorium
and back Thursday evening between 7:00 and
10:30 for persons attending the Convocation
ceremonies.

Today’s medical
motion pictures

Presentations of the Motion Picture Exhi-
bition for today include the session on Ob-
stetrics-Gynecology, a general session, and
the Symposium on Spectacular Problems in
Surgery.

Seven films concerning obstetrics and
gynecology are being shown this morning at
9:00 in the Venetian Room of the Fairmont
Hotel. The General Session features 11 mo-
tion pictures this afternoon at 1:30 in Larkin
Hall of the Civic Auditorium. The evening
program will be the Symposium on Spectacu-
lar Problems in Surgery. Nine films have
been selected by the Committee on Medical
Motion Pictures of the ACS for this showing
which will begin at 7:30 p.m. in the Ball-
room of the St. Francis Hotel.

Care of the injured
continued from page 1

This is the 10th annual Scudder Oration,
named in honor of the first chairman of the
College’s Committee on Fractures, predeces-
sor of the Committee on Trauma. Dr. Scud-
der gave the first lecture in 1929,

Curtis P. Artz, MD, FACS, Charleston,
chairman of the ACS Committee on Trauma,
will introduce Dr. Shires and will preside
during the session,

Forum sessions present
variety of information

The Forum on Fundamental Surgical Prob-

lems began yesterday with sessions concerned

with cardiac physiology, organ transplanta-
tion, liver and tumor immunity.

A presentation by John C. McCabe, MD,
of New York Hospital, revealed that about
25 percent of all people having open heart
surgery develop postpericardiotomy syndrome
(PPS). The disease, first described in 1953,
has become increasingly important with the
advent of the heart-lung machine and the
greater number of heart operations.

Dr. McCabe and his associates found that
26 percent of the group studied developed the
PPS syndrome and nearly half of that 26 per-
cent demonstrated high levels of circulating
antibody directed against the heart but not
the pericardium. Further tests suggest that
the antibody alone is not responsible for PPS
but that it may be an agent acting with other
blood elements to result in the clinical picture.

Counterpulsation has markedly increased
survival rates, according to a team from Tufts
University. Charles T. Cloutier, MD, and
Harry S. Soroff, MD, FACS, said that 8 of 10
patients develop cardiogenic shock after a
heart attack. In a series of patients given ex~
ternal counterpulsation, a 45 percent survival
rate was obtained.

The original counterpulsation technique
was found to be damaging to the blood cells
and required a minor operation. Tufts em-
ploys an external counterpulsation which uses
the limbs to produce counterpulsated pres-
sure wave form with no operative procedure
and with minimal trauma.

The Tufts team suggests that early treat-
ment of patients with coronary occlusion with
counterpulsation may reduce the size of the
permanent injury, improve the course of re-
covery and reduce the incidence of cardio-
genic shock.

Joseph M. Van De Water, MD, of the
Charles R. Drew Postgraduate Medical
School at the Martin Luther King, Jr., Hos-
pital in Los Angeles described a reliable tech-
nique for measuring blood flow in the extremi-
ties without use of needles, catheters or other
intrusive equipment.

A bioelectric impedance device has been
built to detect small changes in resistance or
impedance that occur as each arterial pulse
wave enters the leg. The electrical changes
are converted to volume changes and dis-
played digitally.

Copies of these and all papers presented in
the Forum sessions are available in the text-
book Surgical Forum, Volume XXIII, which
is on sale in the registration area of Brooks
Hall for $4 per copy.

MESSAGES
Phone 864-8911, 864-8912, 864-8913 or
864-8914

TUESDAY, OCTOBER 3, 1972

Today on TV...

Today, and again each remaining day of the
Clinical Congress, surgical procedures will be
televised live and in color from the San Fran-
cisco General Hospital. The programs will be
screened in Polk Hall of the Civic Audi-
torium.

Moderators for the procedures will be
present in Polk Hall and the television panel
members will be located in a studio near the
operating suite. There will be constant audio
communication among the operating sur-
geon(s), the moderator, and the panel.
Moderators will be able to relay questions
from the viewers to the panelists.

The two procedures for today’s telecasts
will be performed with co-surgeons to facili-
tate simultaneous dialogue and operation.
George F. Sheldon, MD, and J, Englebert
Dunphy, MD, FACS, both of San Francisco,
will perform a gastric procedure at 9:30 a.m.,
which will be moderated by H. William
Scott, Jr., MD, FACS, of Nashville.

This afternoon at 1:00 a parathyroid ex-
ploration will be performed by Thomas K.
Hunt, MD, FACS, and Leon Goldman, MD,
FACS, both of San Francisco, Leonard
Rosoff, MD, FACS, Los Angeles, will
moderate.

The gastric procedure will be repeated on
video tape at 3:15 p.m. for those who were
unable to observe the operation in the morn-
ing session.

PASSING THE GAVEL . . . Claude E. Welch, MD,
FACS, (r), chairman of this year’s Clinical Con-
gress Program Committee and William H. Muller,
Jr., MD, FACS, who will head the Program Com-
mittee for the 1973 Clinical Congress in Chicago
are shown at a recent committee meeting plan-
ning for the transition.

Registration facts
As of 5:00 pm Monday

DOCCOLS HS a crerciot nth deter tinier: 9,860
TEAGIES Atty Who et ec iat sh, eeeeee 4,305
Industrialfexhibitorsiiimsces. one ater eH
WASILOLS RTA The peek amelie nine ooetane oma TS 271
Pressiand stattesteimirisreet tenis ths rs.ays 292

POLAT since otal seme hoe es oat 16,245

Note: Last year’s total registration was
15,266.

WRITING WORKSHOP
FACULTY .. . Offering ad-
vice and instruction for
aspiring medical writers
in the third annual Course
in Scientific Communica-
tion were Lois DeBakey,
PhD (seated, left), chair-
man; Selma DeBakey and
(standing from left) Rich-
ard Warren, MD, FACS;
Lloyd Hollingsworth
Smith, Jr., MD; J. Garrott
Allen, MD, FACS; Heinz R.
Kuehn; Karl Heumann,
PhD, and Victor Richards,
MD, FACS. 102 ‘‘stu-
dents’ attended the work-
shop held Saturday and
Sunday at the Mark Hop-
kins.

Monday talk honors
Rudolph Matas, MD

Tribute was paid yesterday to Dr. Rudolph
Matas, New Orleans surgeon credited with
performing the first aneurysmorrhaphy.

Dr. Matas was honored in a paper read
during opening ceremonies by Howard Ma-
horner, MD, FACS, a past president of the
American College of Surgeons (1970-71).

The complete paper will appear in a future
issue of the Bulletin of the American College
of Surgeons,

Today’s get-togethers
continued from page 4

Denton A. Cooley Cardiovascular Surgical Society

7:00-8:30 pm

Cocktail party for members and alumni
Mark Hopkins — Emerald Room
Contact Philip Chua, MD, president, Holiday
Inn, Financial District, room 2504

State University of New York, Downstate
Medical Center, Alumni Association

7:00 pm Reception

8:00 pm Dinner
DiMaggio’s Restaurant
Fisherman's Wharf

Robert A. Wise Surgical Club
7:00-10:00 pm
Reception and dinner
Mark Hopkins — Florentine and
Garden Rooms

Oklahoma Chapter of the American College of
Surgeons

7:30 am

Breakfast meeting
Sir Francis Drake—Plate of Brass Room

Flying Physicians Association
7:30 pm
Dinner meeting
Graf Zeppelin Restaurant
100 Vallejo Street (Register at the FPA desk
in the registration area.)

PAGE 3

Save time for touring
the scientific exhibits

Pigskin grafts in treatment of burn wounds
and cryosurgery to destroy localized cancer
of the cervix are just two of the 149 subjects
on display in the Scientific Exhibition in
Brooks Hall this week. Surgeons, physicians,
and researchers from throughout the country
are presenting their findings and methods in
the exhibit area.

An additional 147 Scientific Exhibits re-
main to be explored by those registered for
the Clinical Congress. They may be viewed
in Brooks Hall through Thursday from 9:30
am to 5 pm, and on Friday from 9 am to 12
noon. Consult yesterday’s issue of the Clini-
cal Congress News for exhibit, substitutions.

Christian Medical Society
7:30-10:30 pm
Dinner and presentation
Faculty Club Dining Room in Milberry Union,
University of California Medical School

Second Auxiliary Surgical Group
7:30-10:30 pm
Dinner
Mark Hopkins — Argonaut Room

Society of Philippine Surgeons in America
7:00 pm
Dinner

Holiday Inn, Fisherman’s Wharf—Lurline
Room

and tomorrow morning’s

North American Chapter of the
International Society of Surgery
7:00-8:00 am
Breakfast for all members
Fairmont — Vanderbilt Room

MEDICAL CARE

A first aid room is located in the main lobby
of the Civic Auditorium,

PAGE 4

ACS CLINICAL CONGRESS NEWS

Today’s get-togethers

A listing of meetings, receptions, din-
ners and other gatherings for the day
will appear in each issue of this paper

American Journal of Surgery Editorial Board
12 noon- 1:30 pm
Editorial luncheon (by invitation)
Fairmont — Fountain Room

National Medical Association, Surgical Section
12:00 noon-1:00 pm
Luncheon meeting
Holiday Inn, Civic Center—Gold Room

James IV Association of Surgeons, Inc.
5:00-6:00 pm_ Annual meeting of members
6:00-7:00 pm_ Cocktails

Fairmont — Florentine Room

Duke University Alumni
5:00-7:00 pm
Cocktail reception sponsored by the
Dery! Hart Society
Fairmont — Cirque Room

Maryland Chapter of American’ College of Sur-
geons
5:00-7:30 pm
Cocktail party
St. Francis — Olympic Suites

Akron City Hospital
5:00-7:00 pm
Cocktail party
Fairmont—Farallon Suite

University of Rochester School of Medicine
5:30-7:30 pm
Reception
Stanford Court—Ballroom East

Michigan Chapter of the American College of
Surgeons
5:30-7:30 pm
Reception for members
Mark Hopkins—Room 621

Dartmouth Medical School Affiliated Hospitals
5:30-7:30 pm
Reception for surgical alumni
Hilton—Poyon Suite

University of North Carolina School of Medicine
5:30-7:30 pm
Cocktail party
Hilton—Rosewood Suites A & B

Case Western Reserve University Medical Alumni
5:30-7:30 pm
Cocktail party
Stanford Court — Gold Room

Cleveland Clinic Foundation
5:30-7:30 pm
Reception
St. Francis — Elizabethan C

Roy D. McClure Surgical Society of the Henry
Ford Hospital
5:30-6:30 pm
Cocktail party
Hilton — Teakwood Suites A and B

Nebraska Chapter of the American College of
Surgeons
5:30-7:30 pm
Cocktail party
St. Francis — Victorian Room

James D. Rives Surgical Society, Louisiana State
University School of Medicine Alumni
5:30-7:30 pm
Cocktail party for all alumni of LSU School of
Medicine and all former trainees
St. Francis — Elizabethan A

John Hopkins University
5:30-7:30 pm
Cocktail party for alumni, faculty, former fac-
ulty and friends
Hilton — Ballroom VI

State University of New York at Buffalo
5:30-7:30 pm
Reception for alumni
St. Francis — Borgia Room

Upstate Medical Center at Syracuse, Department
of Surgery
5:30-7:00 pm
Cocktail party for alumni, faculty and friends
Fairmont — Garden Room

Tulane Medical Alumni Association
5:30-7:30 pm
Cocktail party for alumni and guests
Hilton — Walnut Suite A&B

Vanderbilt Medical Alumni Association
5:30-7:30 pm
Cocktail party for alumni and friends
Hilton — California Room

University of Pennsylvania Medical Alumni
5:30-7:00 pm
Cocktail party for alumni, spouses and friends
Fairmont — Terrace Room

University of Rochester School of Medicine
5:30-7:30 pm
Annual reception and cocktail party for alumni
and friends
Stanford Court — Blue Room

US Army Institute of Surgical Research
5:30-7:30 pm
Cocktail party for alumni and guests
St. Francis — Oxford Room

Albany Medical Center Hospital and College
6:00-8:00 pm
Cocktail party (cash bar)
Mark Hopkins — Baldwin Room

George Washington University Medical Alumni
6:00-8:00 pm
Reception for members and guests
St. Francis—Suite 734

Boston University School of Medicine, Depart-
ment of Surgery
6:00-8:00 pm
Cocktail party for alumni and all past and pres-
ent residents and staff
Fairmont — French Room

Cancer Hospitals’ Alumni (Ellis Fischl, M.D.
Anderson Memorial, National Cancer Institute,
Roswell Park)
6:00-8:00 pm
Reception and cocktail party for alumni
and friends
Mark Hopkins — Golden Empire Room

Cedars-Sinai Medical Center, Surgical Staff
6:00-10:00 pm
Reception and dinner for alumni and attendings
St. Francis — Essex Room

Alumni Association of Jefferson Medical College
6:00-7:30 pm
Reception for alumni and faculty
Marines’ Memorial Club
609 Sutter Street

TUESDAY, OCTOBER 3, 1972

University of Kansas Medical Center,
Department of Surgery
6:00-8:00 pm
Cocktail party
Mark Hopkins — Room of the Dons

Massachusetts General Hospital Surgical Services
6:00-8:00 pm
Cocktail party
St. Francis — Elizabethan D

University of Illinois Foundation
6:00-7:30 pm
Cocktail party for all alumni of U of |
College of Medicine or U of | Hospitals
Fairmont — Venetian Room

Owen H. Wagensteen Surgical Education
Foundation
6:00-11:00 pm
Reception and dinner
St. Francis — California East

Robert M. Zollinger Club
6:00-8:00 pm
Cocktail party
Fairmont — Gold Room

University of Virginia School of Medicine
6:30-8:00 pm
Cocktail reception for alumni and families in
honor of Dr, & Mrs. William D. Drucker and Dr.
& Mrs. William H. Muller, Jr., in the home of
Milton L. Rosenberg, 2993 Lake Street

The Jewish Hospital of St. Louis, Department of
Surgery
6:30 pm
Cocktail party
Fairmont—Room 378

Wayne State University, Department of Surgery
6:30-8:30 pm
Cocktail party for alumni and spouses
Fairmont—Grand Ballroom Lounge

Albert Einstein College of Medicine
6:30 pm
Dinner for alumni, faculty and residents
Imperial Palace
919 Grant Ave.

Brooklyn-Long Island Chapter of the
American College of Surgeons
6:30-8:30 pm
Cocktail party and reception for Chapter
Fellows and guests hosted by
Dr. James L. O’Leary
Fairmont — Vanderbilt Room

Ravdin-Rhoads Surgical Society
6:30-10:30 pm
Reception and dinner (by reservation)
Fairmont — Fountain Room

Shumacher Surgical Society
6:30-9:30 pm
Reception and dinner
St. Francis — Georgian Room

Society of Air Force Clinical Surgeons
6:30-8:30 pm
Cocktail party for all Air Force Surgeons
Del Webb's TowneHouse —— Peninsula/
Civic Center Room

George Curry Surgical Society
7:00 pm
Reception and dinner
St. Francis—Elizabethan B
Contact Dr. Wade, St. Francis, room 2099

continued on page 3